Harrington C, Grant L A
Institute for Health and Aging, University of California, San Francisco 94143-0646.
Gerontologist. 1990 Aug;30(4):451-61. doi: 10.1093/geront/30.4.451.
This study examined seven basic types of formal home care service providers in California, licensed and unlicensed, delivered by agencies and by individual providers. The primary differences were based on sources of payment, duration of care, supervision of personnel, and state regulation, rather than on statutory definitions of services offered and clients served. Many key officials and providers advocate regulatory reform by extending licensure to unlicensed agencies and providers. Competing special interest groups have not developed a consensus about regulation, leading to a political stalemate. Research has not determined differences in quality, access, and costs of licensed and unlicensed home care providers.
本研究调查了加利福尼亚州七种基本类型的正规家庭护理服务提供者，包括有执照和无执照的，由机构和个体提供者提供服务。主要差异基于支付来源、护理时长、人员监管和州监管规定，而非所提供服务和所服务客户的法定定义。许多关键官员和提供者主张进行监管改革，将执照发放范围扩大到无执照的机构和提供者。相互竞争的特殊利益集团尚未就监管达成共识，导致政治僵局。研究尚未确定有执照和无执照的家庭护理提供者在质量、可及性和成本方面的差异。
